A Case of Dysphagia Accompanied with GERD Refractory to Medical Treatment.
- Author:
Young Seok CHO
1
;
Myung Gyu CHOI
;
Woo Chul CHUNG
;
Jeong Jo JEONG
;
In Seok LEE
;
Sang Woo KIM
;
Sung Soo KIM
;
Hiun Suk CHAE
;
Sok Won HAN
;
In Sik CHUNG
;
Doo Ho PARK
Author Information
1. Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea. choim@cmc.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Nonobstructive dysphagia;
GERD
- MeSH:
Adult;
Constriction, Pathologic;
Deglutition Disorders*;
Esophageal Motility Disorders;
Fluoroscopy;
Gastroesophageal Reflux*;
Humans;
Hydrogen-Ion Concentration;
Kidney Transplantation;
Male;
Manometry;
Proton Pumps;
Weight Loss
- From:Korean Journal of Gastrointestinal Motility
2002;8(1):47-52
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dysphagia is a frequent symptom which is observed in about 6% of all population. The most common causes of nonobstructive dysphagia are reported to be esophageal motility disorders, systemic disease and GERD. About 30% of GERD patients complain of dysphagia. Dysphagia in GERD patients is mostly due to peptic stricture but occasionally related to transient segmental esophageal motor disorder. A 42-year old male patient was admitted because of dysphagia and weight loss. He had renal transplantation 5 years ago. The results of esophagogastroduodenoscopic examination, esophagogram and esophageal manometry were normal. Treatment with proton pump inhibitor, prokinetic and anti-depressant was begun but the patient continued to complain of dysphagia. The result of 24 hour ambulatory pH monitoring revealed pathologic reflux. The results of 24 hour ambulatory esophageal manometry and video fluoroscopy were normal. After reassured, he didn't complain of dysphagia. We report this case of nonobstructive dysphagia accompanied with GERD refractory to medical treatment in patient who had renal transplantation.
